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Organization
HIGH TECHNOLOGY INC
Active
Organization
HIGH TECHNOLOGY INC
Active
Other names
High Tech Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
11800 SOUTHWEST HWY, PALOS HEIGHTS, IL 60463-1029
(708) 361-0220
(708) 923-3611
Mailing address
PO BOX 66973, SLOT 30236, CHICAGO, IL 60666-0973
(708) 361-0220
(708) 923-3611
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
08/24/2006
Last updated
12/02/2024
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